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HomeMy WebLinkAbout74802D - Gammonsf 4AMA / -i \DREDGE,& FI�L NO, 74802 C D -� NERAL PERMIT A B Previous permit# ew Modification -]Complete Reissue CPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address �- Street address/ State Road/ Lo/t�#(s) City 1 teZIP Phone # ( -Mail Subdi ' ion Authorized Agent " /�(� ��� City ZIP U Affected ❑ CW L EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) Rivec Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body V l nat an unkn ❑ PWS: ORW: yes no PNA yes / no Closest Maj. Wtr. Body ■■■ ■■� ■��p ■E■■ 11111■■■■■ ■■■■■■■■■■■EEM112■■■R Sir,,NINE■!■■■\ ■■■■■■■M■■■■■■■■■■■ORIMMU.../■■■■■■■ �■■ ■■■■■■■■■■■■■■■■�■■�r,■■■nun■■■■■■■■■l��■■■ ■��wa�w■mom■■■ ■■r■■�i■■i�■■■■■■■■®■■■�■■ ■■■■■■■■■■■■■■■ft\/Ili■�■��%■■■■■i��I��IJ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ M. ■■■\1\1■■OMMEME_ME ■■■■■■■■■■■■■■■■■■■■ _■■Ccm■■i����ai�iiii�'■ii�iiir�■i ■■Iis!■■���r�[�■I�■r/■■'■■■I�■■■■■p� �■i■����■■■■ I Mlel.■■■■■■■ • - � 1 l��:ii■■►l�■UI,LliI1•%■■/I■■■I■■■II■■//I�1■L�L`'J■■■■■■■ ■l�!r►\�►/■i1f►7,t�■I�!I1��A rJ iNNAME■■■■■■■■■■■ MEN ME M ME _.- Age or OpTicantName �Printed Si nature * Please read compliance statement on back of�ermit Application Fee(s) Check # AGENT AUT11 R t=OR CAMA PERMIT APPL C—AT IQN Name of Property Owner Requesting Parmo-rimj?3tNIIi1II,i__ - Mailing Addresg Phone Number, Email Address: I Certify that I have authorized 144 Foothill Farm Lane Pilot Mountain NC 27041 r 1 t ► 1 � � = to act on my behalf, 1cx ttw purpege of applying for and obtaining all CAMA permits necessary for the following proposed development bulkhead 811Z!_fift"M]W at my property located at 109 Southwest 25 street, Oak Island N C in jr„nSWxj County 1 furthormom certify that I am "uthofizod to grant. and do in fact grant percussion to Division of Co@stat Management stag tho Local POmW Oficer and their agents to entor on the aforementioned lends in connection permit appticotrot; with eve►uet rg information retetecJ to this Property Owner informat*n Tim Gammons Wlnt or Typo Nemo rft 10 I1_r 2019 Oahe This certification ix valid through 1 r +'::ram t ... .,-1 4� ) �/ GIuF.►�tfUl _ _ ..; ..:^_ • err: t� Sah41 'u/z JN 1 _ � � ,•k .�a.t, Ellptll:l/iDJ tlM( fit• � -luwrtruul>�u} �r1uVt(j Rusbil_I IOAsCtpVj — -- - itingrlvxlfl+ rukn Allt+dOutl} . nl'" v; full op 1 `� t1L+1'rN a,p,ep �1•.1 tl+ ..t, /; (+. ' .. ^..T,y_ 5 •t '.. ��"�t '1 t� ' 4 ' 1.111'Illlll lftlul W ''. 1,1. �!' :+,,•y t 1 "O t k 4. p rilr a•rvlr ,/,t r y•rU! �n !, u;ntl un ; •frII-.,j„r� ' lrl:.n ftiagRd'q+ t 1' ifur o�oNf MlgvfAl/►u(} ti li4d�i'i{Alit :l lS�.ft1N�1 l;�Vt,M1Rh12H1'f'WN(111.ytf7S�(` '�funn;l ,u Ilnc umul Cfl�l X;urec• r, Mt{,Jt'j qbo — illl,nryllrlerryll "I p�N3113�'''�1'Nar_r`2'f�ipncQ I�11YQh1� 13C, ii>Hl(C SL }SrV.ltfnKfs' lli t , �� •+. SUtfIfflUl'� Ua i 1 , . t 1 , • 1 ,. Lu• 1 ! ► , r • IK .Phi.t =-N13ti_11Y1�''ll:�/1�1 I.ItI?�rcitlr :iYl�lli�.fnf+k_r:>1VP+►v CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Prnoerty O%vrtet Tim Gammons Address of Proeerty 109 Southwest 25 street, Oak Island N,C ;t of or Street d Street or Road. City b County) Agent's Name *: �GI. C Mailing Address 101 N - ft'�'%'dV. &'— Agent's phone __.7 0 44 31 1 d. I hereby certity that I own property adjacent to the above referenced property The individual applying toow s permit has described to me as shn on the attached dravmg the development 7171'havc posingA description or drawing. with dimensions" mu 17e pMv►ded with this "or no objections to this prcpo%al. _ _ I hRvc objections to this pmpocal 1 you have objections to *fiat is being proposed, you must notify (he Division of Coastol Manaywnent IDCM) in #ruing w,thrn 10 days of receipt of this notice Correspondence should be mailed to 127 Cardinal Drive EA t . NNmmgton, NC 28405.3845. DCM representatives ran also be contacMd at (910) 796-7215. No response (s _onsidered the same as no objec(ion if you have been notified by Certified Mail. WAIVER SECTION I understand that a D►er, dock mooring pil ngs, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15from my area of riparian access unless waived by me {If you wish to waive the setback, you r_tltlst initial the appropriate blank below) I do wish to waive the 15' setback requiremen! do not wish to waive the 15' setback requirement (Property Owner Information) A aCant Prop Owner lotormationt /she.�te.ra- ��(,1�►llll-- Tim Gammons J! rrww or Type Name Puri( or Ty,p(g Name 144 Foothill Farm Lane Mailing Address Pilot Mountain NC 27041 C(tylSlate2p =:429 6036 fe/bpbone Number 10/ 16/2019 /-71 Ao/L� MaOng Address 0tyy/54a#&Zp Telephone Number Remsed &IW012 N. Doi it S Care, I idle- he'ai wi- l� 10 -tom+ a,-% cae K s;� Date Received Date Dewsited Crock Ftom Name Name of Permit Holder _ Co.Columns Vendor _ 1 First Citizens Bank Check Number Check amount Permit Number/Comments _ Colum , Column8 _ _ 400.00 GP 74802D Recel t or RelundlReaADcated Column? Column Column Column6 Column9 11/27/2019, 11/27/2019 McPherson Marine Services LLC Tim Gammo ns 2153' _ Tmac rct. 9498D